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2792737-40-2 PARTIES 90945 FIDELLSNG
Debtor name (last name first if individual) and mal~lng address:
Kenneth Heiser
1000 Sandbank Rd
MOUNT HOLLY SPRINGS, PA 17065
23-2214167
.Debtor Name (last name first If individual) and mailing address:
Debtor name (last name first If individual) and mailing address:
Secured Party(les) names(s) (last name first If Individual) and
ur' interes information:
~rdSe~ ~c~ ~e a s,n g ti n c,
1255 Wrights Lane
West Chester, PA 19380
23-2842671
Assignee(s) of Secured Party name s last name first if
individual) and address for security interest information:
FINANCING'STATEMENT
Onlform Commercial Code Form UCC-I
· ' IMPORTANT-Please read instructions on
reverse side of page 4befo~:e comp!~li~g
Filing NO. (stamped by filing officer): Date, Time, Fl~mg Offi~ (stamped by fihng officer):
[] Secretary of the Commonwealth____
[] Prothonotary of ~ M ~--~-'~ ~/ County
[] real estate records of County
Number of Additional Sheets (if any):
Optional Special Identification (Max. 10 Characters): 12792737 _
COLLATERAL
identify collateral by item and/or type:
EQUIP DESC: Model 645 Multi, QUANTITY: 1, MODEL: 645, SERIAL#:
345, LICENSE#:, EQUIP#:, ASSET DETAIL:
~ecial Types of Parties (check If applicable):
SECURED PARTY SIGNATURE(S)
Secured Party Signature(s)
(required only if box(es) is checked above):
L:A OLE ,WALSH
ATTORNEY-IN-FACT
2a
[] (Check only If desired) ProduCtS of the COllateral are also covered
the following real estate:
Street Address:
Described at: Book -- of (check one)[] Deeds [] Mortgages, at Page(s)
for County. Uniform Parcel Identifier
[] Described on Additional Sheet.
Name of record owner (required only if no debtor has an interest of record):
9
DEBTOR SIGNATURE(S)
Debtor Signature(s):
Kenneth Heiser
HAROLD CASTILLO
Phone (800) 331-3282
Fax (818) 662-4141
RETURN RECEIPT TO:
UCC Direct Services
P.O. Box 29071
Glendale
CA
91209-9071
STANDARD~b~-FORMUCdq ,,_.9 ..... FILING OFFICE (~RIGINAL d.~,~ j~,2'93,/O~
Approved by Secre ary of Commonwea th of Pennsylvania
...... .'~.-- /o .¢ ~,~j~*